| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,993 |
6,319 |
$1.11M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,676 |
5,900 |
$1.05M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,247 |
4,387 |
$778K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,659 |
2,857 |
$203K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
401 |
298 |
$143K |
| 71045 |
Radiologic examination, chest; single view |
1,513 |
1,185 |
$126K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
833 |
701 |
$100K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,095 |
863 |
$74K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,948 |
10,181 |
$70K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,785 |
1,409 |
$67K |
| 71046 |
Radiologic examination, chest; 2 views |
619 |
547 |
$60K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
9,573 |
7,421 |
$53K |
| 99218 |
|
141 |
97 |
$47K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,219 |
2,437 |
$39K |
| 80076 |
|
4,915 |
3,887 |
$28K |
| 84484 |
|
2,989 |
2,079 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
290 |
247 |
$21K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,773 |
1,355 |
$17K |
| 80053 |
Comprehensive metabolic panel |
2,886 |
1,992 |
$14K |
| 81001 |
|
4,589 |
3,714 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
61 |
53 |
$11K |
| 87631 |
|
107 |
80 |
$10K |
| 83690 |
|
2,499 |
1,975 |
$10K |
| 83735 |
|
1,848 |
1,421 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
339 |
270 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,232 |
1,020 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,019 |
1,490 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
243 |
194 |
$6K |
| G0378 |
Hospital observation service, per hour |
26 |
26 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
33 |
25 |
$5K |
| 84703 |
|
845 |
656 |
$5K |
| 87400 |
|
600 |
479 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
101 |
36 |
$2K |
| 83605 |
|
310 |
224 |
$2K |
| 94761 |
|
134 |
104 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
181 |
162 |
$2K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
63 |
50 |
$1K |
| 85610 |
|
325 |
279 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
30 |
27 |
$818.31 |
| 81015 |
|
358 |
281 |
$663.32 |
| 80305 |
|
111 |
94 |
$586.97 |
| 87081 |
|
117 |
105 |
$581.47 |
| 83880 |
|
31 |
27 |
$446.85 |
| 81003 |
|
216 |
168 |
$348.51 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
657 |
520 |
$342.28 |
| 85652 |
|
147 |
120 |
$259.20 |
| 82550 |
|
61 |
42 |
$247.44 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
29 |
26 |
$125.60 |
| 85379 |
|
27 |
25 |
$114.82 |
| 94664 |
|
15 |
13 |
$90.97 |
| 85027 |
|
37 |
14 |
$76.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,234 |
953 |
$71.70 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
201 |
145 |
$34.42 |
| 82962 |
|
13 |
13 |
$29.42 |
| 85730 |
|
13 |
12 |
$19.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
60 |
39 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
182 |
143 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
16 |
15 |
$0.00 |